Health Needs Assessment

Question 1

What is a health need assessment

Answer 1

Systematic method for reviewing for revueieng health issues facing a population, leading to agreed priorities and resource allocation that will improve health and reduce inequalities

Question 2

What is need

Answer 2

Ability to benefit from an intervention

Question 3

Demand

Answer 3

What people ask for

Question 4

Supply

Answer 4

What is provided

Question 5

Name something that is needed and supplied

Answer 5

Statins

Question 6

Something needed and demanded

Answer 6

Mental health services

Question 7

What are bradshaw’s needs?

Answer 7

Felt need
Expressed need
Normative need
Comparative need

Question 8

What is felt need

Answer 8

Individual perceptions of variation from normal health eg not being able to walk as far as they used to

Question 9

What is expressed need

Answer 9

Individual seems help to overcome variation in normal health (this kind of correlates with demand)

Question 10

What is normative need

Answer 10

Professional defines intervention appropriate for the expressed need ie Dr says hmm ur sad u can’t walk as far- go to rehab!

Question 11

What is Comparative need

Answer 11

Comparison between severity, range of interventions and cost eg u go to rehab and improve and even tho u still want it it’s oversubscribed and others need it more so u get kicked off

Question 12

What are the four stages of the planning cycle for health services

Answer 12

Needs assessment
Planning
Implementation
Evaluation

Question 13

What are the three types of approach to health needs assessments

Answer 13

Epidemiological
Comparative
Corporate

Question 14

What is the Epidemiological approach to health needs assessments

Answer 14

Top down approach 
Define the issue
Assess the size of the issue
Look at the services already available to the issue and see how cost effective they are and quality of care compared to other services (existing evidence base) 
Recommend how to improve

Question 15

Cons of epidemiological approach to health needs assessment

Answer 15

Doesn’t really consider felt needs
Reinforces the purely biomedical approach (not biopsychosocial)
Need existing data to compare off

Question 16

What is the comparative approach to health needs assessment

Answer 16

Compares services received by a sub group with services received by a different sub group eg MS patients physio is yorkshire vs the north west or for under 30s vs over 30s

Question 17

Cons of comparative approach to health needs assessment

Answer 17

Hard to find comparable groups
Might be comparing two shite services
Needs existing data to compare off to be decent quality

Question 18

What is the corporate approach to health needs assessment

Answer 18

Takes into account view from patients, politicians, press, professionals, comissioners

Question 19

Problems with corporate approach

Answer 19

Hard to distinguish need from demand
Certain groups has vested interested eg political agenda, money saving
Dominant personalities have more say

Question 20

What are the 2 main types of health needs assessment evaluation

Answer 20

Donabedian approach

Maxwell’s dimensions

Question 21

What is the doanbedhan approach

Answer 21

Structure: what there is (eh buildings staff equipment)
Process: what is done
Outcome: mortality, morbidity, PROMS (patient repoerted outcome measures), patient satisfaction groups aka 5Ds (death, disease, disability, discomfort, dissatisfaction)

Question 22

What are maxwell’s dimensions (6)

Answer 22

3Es 3As
Acceptibility
Effective ness (does it work)
Equity (euqal access)
Accessibility (far away patients can get it)
Appropriateness (given to those who actually need it)
Efficiency (is output maximised)

Question 23

What is wrights matrix

Answer 23

Ties together donabedian and maxwell’s approaches. Eg for each of the 3Es and 3As u look at structure, process, outcome